<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>在线报名</title>
<meta name="viewport" content="width=device-width,height=device-height,inital-scale=1.0,maximum-scale=1.0,user-scalable=no;">
<meta name="apple-mobile-web-app-capable" content="yes">
<meta name="apple-mobile-web-app-status-bar-style" content="black">
<meta name="format-detection" content="telephone=no">
<link href="hotels.css" tppabs="http://www.huaxingju.com/tpl/Wap/default/common/css/style/css/hotels.css" rel="stylesheet" type="text/css">
<script src="jquery.min.js" tppabs="http://www.huaxingju.com/tpl/Wap/default/common/css/style/js/jquery.min.js" type="text/javascript"></script>
<script type="text/javascript" src="main.js" tppabs="http://www.huaxingju.com/tpl/Wap/default/common/css/product/js/main.js"></script>

</head>

<body id="wrap">
<style>
.deploy_ctype_tip{z-index:1001;width:100%;text-align:center;position:fixed;top:50%;margin-top:-23px;left:0;}.deploy_ctype_tip p{display:inline-block;padding:13px 24px;border:solid #d6d482 1px;background:#f5f4c5;font-size:16px;color:#8f772f;line-height:18px;border-radius:3px;}
</style>
<div class="banner">
<div id="wrapper">
<div id="scroller" style="float:none">
<ul id="thelist">
               
<li style="float:none"><p>在线报名</p>

<a href="index.php-g=Wap&m=Selfform&a=detail&token=ymnpmx1396925471&id=15&wecha_id=20150422125316569.htm" tppabs="http://www.huaxingju.com/index.php?g=Wap&m=Selfform&a=detail&token=ymnpmx1396925471&id=15&wecha_id=20150422125316569">
<img src="bmxz.jpg" tppabs="http://www.huaxingju.com/wximg/gajx/bmxz.jpg" alt="在线报名" style="width:100%"/></a>
</li>
 

</ul>
</div>
</div>

<div class="clr"></div>
</div>


<div class="cardexplain">



<!--intro-->
<ul class="round">
<li>
<h2>简介</h2>
<div class="text">
国安驾校客服会在24小时内回复！（在线报名可以免费提供上门接送体检、报名的服务）</div>
</li>
<li><a href="index.php-g=Wap&m=Selfform&a=detail&token=ymnpmx1396925471&id=15&wecha_id=20150422125316569.htm" tppabs="http://www.huaxingju.com/index.php?g=Wap&m=Selfform&a=detail&token=ymnpmx1396925471&id=15&wecha_id=20150422125316569"><span style="color:#666">详细介绍</span></a></li>
</ul>


<form method="post" action="" id="form" onSubmit="return tgSubmit()">   
<ul class="round">
<li class="title mb"><span class="none">请填写以下信息</span></li>
<li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>姓名</th>
<td>    			<input type="text" class="px" placeholder="请输入姓名" id="name" name="name" value="" />
    			</td>
</tr>
</table>
</li><li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>电话</th>
<td>    			<input type="text" class="px" placeholder="请输入电话" id="tel" name="tel" value="" />
    			</td>
</tr>
</table>
</li><li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>接送日期</th>
<td>    			<input type="text" class="px" placeholder="请输入接送日期" id="riqi" name="riqi" value="" />
    			</td>
</tr>
</table>
</li><li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>接送时间</th>
<td>    			<input type="text" class="px" placeholder="请输入接送时间" id="time" name="time" value="" />
    			</td>
</tr>
</table>
</li><li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>接送地址</th>
<td>    			<input type="text" class="px" placeholder="请输入接送地址" id="add" name="add" value="" />
    			</td>
</tr>
</table>
</li><li class="nob">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="kuang">
<tr>
<th>报名班别</th>
<td><select style="line-height:35px;" id="banji" name="banji"  class="dropdown-select"><option value="" selected>请选择报名班别</option><option value="C1">C1</option><option value="C2">C2</option><option value="VIP1">VIP1</option><option value="VIP2">VIP2</option><option value="B2">B2</option></select>
    			</td>
</tr>
</table>
</li>                                                          
</ul>

<div class="footReturn" style="text-align:center">
<input type="submit" style="margin:0 auto 20px auto;width:90%"  class="submit" value="提交信息" /></div>
<input type="hidden" name="__hash__" value="c75bc88ef645727ffca52941cac2b37f_8564bd3cdd2e1a72c86d63f1cdf935cd" /></form>
<script>
function showTip(tipTxt) {
	var div = document.createElement('div');
	div.innerHTML = '<div class="deploy_ctype_tip"><p>' + tipTxt + '</p></div>';
	var tipNode = div.firstChild;
	$("#wrap").after(tipNode);
	setTimeout(function () {
		$(tipNode).remove();
	}, 1500);
}
function tgSubmit(){
	//
	var name=$("#name").val();
	if($.trim(name) == ""){
		showTip('请输入姓名')
		return false;
	}	var tel=$("#tel").val();
	if($.trim(tel) == ""){
		showTip('请输入电话')
		return false;
	}	var patrn = /^[0-9]{1,30}$/;
	if (!patrn.exec($.trim(tel))) {
		showTip('请输入电话')
		return false;
	}var riqi=$("#riqi").val();
	if($.trim(riqi) == ""){
		showTip('请输入接送日期')
		return false;
	}	var time=$("#time").val();
	if($.trim(time) == ""){
		showTip('请输入接送时间')
		return false;
	}	var add=$("#add").val();
	if($.trim(add) == ""){
		showTip('请输入接送地址')
		return false;
	}	var banji=$("#banji").val();
	if($.trim(banji) == ""){
		showTip('请输入报名班别')
		return false;
	}		return true;
}
	</script>
</div>
</body>
</html>